MARLETTE REGIONAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MARLETTE REGIONAL HOSPITAL (EIN 38-1507302)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-02-11
IRS object ID
201530429349300308
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-02-11T07:12:03-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382475073PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON TUCKEY BERNHARDT & DORAN PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1715 E FRANK STREETAddressLine1
CityCAROCity
StateMIState
ZIP Code48723ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381507302EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMARLBusinessNameControlTxt
Phone9896354000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12770 MAIN STREET PO BOX 307AddressLine1
CityMARLETTECity
StateMIState
ZIP Code484530307ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAN BABCOCK CPAPersonNm
Person TitleCEOPersonTitleTxt
Phone9896354000PhoneNum
Signature2015-01-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY D FRANZELPreparerPersonNm
PTINP00851336PTIN
Phone9896733137PhoneNum
Preparation2015-01-29PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAN BABCOCK CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12770 MAIN STREET PO BOX 307AddressLine1
CityMARLETTECity
StateMIState
ZIP Code484530307ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$33,441,686GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARLETTEREGIONALHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee495TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$283,919PYContributionsGrantsAmt
CY Contributions Grants$257,271CYContributionsGrantsAmt
PY Program Service Revenue$32,540,844PYProgramServiceRevenueAmt
CY Program Service Revenue$31,584,345CYProgramServiceRevenueAmt
PY Investment Income-$6,549PYInvestmentIncomeAmt
CY Investment Income$496,808CYInvestmentIncomeAmt
PY Other Revenue$228,769PYOtherRevenueAmt
CY Other Revenue$408,425CYOtherRevenueAmt
PY Total Revenue$33,046,983PYTotalRevenueAmt
CY Total Revenue$32,746,849CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,560,801PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,354,834CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$150,023CYTotalFundraisingExpenseAmt
PY Other Expenses$14,541,531PYOtherExpensesAmt
CY Other Expenses$13,727,142CYOtherExpensesAmt
PY Total Expenses$34,102,332PYTotalExpensesAmt
CY Total Expenses$33,081,976CYTotalExpensesAmt
PY Revenues Less Expenses-$1,055,349PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$335,127CYRevenuesLessExpensesAmt
Total Assets BOY$35,455,417TotalAssetsBOYAmt
Total Assets EOY$34,065,149TotalAssetsEOYAmt
Total Liabilities BOY$15,629,948TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,587,200TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,825,469NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,477,949NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$28,042,325ExpenseAmt
Revenue$31,584,345RevenueAmt
DescDURING FISCAL YEAR 2013-2014 MARLETTE REGIONAL HOSPITAL SERVED 631 INPATIENTS, PROVIDED CARE TO 44,942 OUTPATIENTS, INCLUDING 7,926 EMERGENCY DEPARTMENT PATIENTS, AND SERVED 28,116 PATIENTS IN ITS OWNED MEDICAL AND RURAL HEALTH PRACTICES. RECOGNIZING ITS MISSION TO THE COMMUNITY, THE HOSPITAL PARTICIPATES IN THE FEDERAL GOVERNMENT'S MEDICARE PROGRAM AND NUMEROUS MEDICAID HEALTH PLANS, OFTEN PROVIDING CHARITY CARE OR SERVICE AT RATES OF REIMBURSEMENT THAT ARE BELOW THE HOSPITAL'S ACTUAL COST. IN THE LAST FISCAL YEAR, THE NON-REIMBURSED VALUE OF PROVIDING CARE TO ALL OF MRH'S PATIENTS WAS APPROXIMATELY 19,261,678 REPRESENTING A WRITE-DOWN OF 36.3 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 3,924. ADDITIONALLY, THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTABLE BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDING JUNE 30, 2014 AND 2013 AMOUNTED TO 2,270,857 AND 2,224,877, RESPECTIVELY. THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING THE COST BASED UPON THE COST TO CHARGE RATIO THAT IS DEVELOPED IN SCHEDULE H. OTHER COMMUNITY BENEFITS ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES THAT MRH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. A SAMPLING OF THESE COMMUNITY BENEFITS IS PROVIDED BELOW: EDUCATIONAL SERVICES/PROGRAMS "ABUSE AND NEGLECT RECOGNITION TRAINING FOR COMMUNITY AND HOSPITAL STAFF "CAREER GUIDANCE FOR AREA SCHOOL STUDENTS "COOPERATIVE PROFESSIONAL TRAINING WITH LOCAL COLLEGES "CPR TRAINING FOR THE COMMUNITY AND PUBLIC SAFETY AGENCIES "DISEASE/CONDITION-SPECIFIC EDUCATION, E.G., DIABETES "EDUCATION/COUNSELING FOR FAMILIES OF PATIENTS "EDUCATION/COUNSELING FOR PATIENTS "EDUCATIONAL PROGRAMS FOR EMPLOYEES (ADULT EDUCATION) "ORGAN DONATION INFORMATION CAMPAIGNS "SCHOOL HEALTH PROGRAMS "SPEAKERS BUREAU "SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY "TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNEL HEALTH PROMOTION AND PREVENTIONS ACTIVITIES "BLOOD PRESSURE CLINICS "DISCHARGE PLANNING WITH FOLLOW-UP SUPPORT PROGRAMS "DRUG REVIEW FOR SENIOR CITIZENS "HEALTH PROMOTION/WELLNESS PROGRAMS "HEALTH SCREENING/HEALTH FAIRS "NUTRITION AND WEIGHT CONTROL "RURAL HEALTH OUTREACH SERVICES "STRESS MANAGEMENT "WORK SITE HEALTH PROMOTION SERVICE EMERGENCY SERVICES/PROGRAMS "EMERGENCY SERVICES DEPARTMENT "ADVANCED LIFE SUPPORT AMBULANCE SERVICE "FIRE AND POLICE ASSISTANCE "HELICOPTER TRANSFER ASSISTANCE CLINICAL SERVICES "CERTIFIED RURAL HEALTH CLINICS "CHILDHOOD IMMUNIZATIONS "PRIMARY CARE SERVICES "ACUTE MEDICAL AND SURGICAL SERVICES "RESIDENTIAL AND HOME-BASED HOSPICE SERVICES "UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, AND LONG-TERM CARE SERVICES "MOBILE PET AND BONE DENSITY TESTING TECHNOLOGY "COORDINATION OF PATIENT CARE SERVICES IN HOSPITAL "FREE OR LOW COST SERVICES TO LOW INCOME FAMILIES "GENERAL HEALTH SCREENING CLINICS "RESPIRATORY/PULMONARY DISEASE SERVICES "SCHOOL HEALTH CLINICS (PRIMARY CARE) "SCHOOL SPORTS PHYSICALS "SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY NON-CLINICAL HOSPITAL SERVICES "ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES) "FREE MEETING ROOMS FOR COMMUNITY GROUPS "FREE OR LOW COST MEALS "GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUDING MEDICAID "MEALS FOR FAMILY MEMBERS "TRANSLATION OR INTERPRETER SERVICES FOR NON-ENGLISH SPEAKING PATIENTS SUPPORT FOR OTHER HEALTH CARE PROVIDERS "RADIATION AND CHEMOTHERAPY SERVICES "VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE PHYSICIANS' CARE "SUPPORT FOR BLOOD DRIVES "DONATION OF USED EQUIPMENT TO OTHER PROVIDERS "PHYSICIAN REFERRAL SERVICES "PARTNER IN REGIONAL RURAL HEALTH NETWORKS WORKING RELATIONSHIP WITH OTHERS "CIVIC ORGANIZATIONS SUCH AS LIONS CLUB AND TOYS FOR TOTS "AMERICAN ASSOCIATION OF RETIRED PERSONS "COMMUNITY-BASED BUSINESS GROUPS SUCH AS CHAMBERS OF COMMERCE "ECONOMIC DEVELOPMENT AGENCIES "HOME HEALTH AGENCIES "HOSPICES "LOCAL SCHOOLS AND COLLEGES "NURSING HOMES "SENIOR CITIZENS ORGANIZATIONS "STATE AND LOCAL AGENCIES AND ORGANIZATIONS MARLETTE REGIONAL HOSPITAL IS COMMITTED TO SERVING OUR PATIENTS IN WAYS THAT RESPECT THE ORIGINAL VALUES OF OUR COMMUNITY - A COMPASSION FOR OUR NEIGHBORS AND A SENSE OF DUTY TO SERVE THOSE IN NEED. IN RESPECTING THESE VALUES, MARLETTE REGIONAL HOSPITAL ACKNOWLEDGES ITS OBLIGATION TO OFFER SERVICES TO PATIENTS THAT MAY NOT BE ABLE TO FULLY AFFORD THE CARE THEY NEED, WHILE ALSO SERVING THE HEALTH IMPROVEMENT NEEDS OF OUR LARGER COMMUNITY. TO THAT END, THE HOSPITAL HAS ADOPTED POLICIES THAT DESCRIBE HOW SERVICES ARE DISCOUNTED AND HOW CHARITY CARE IS DETERMINED AND OFFERED.Desc
Total Program Service Expenses$28,042,325TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document36IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee495EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJIM SINGLES CFOPersonNm
Phone9896354000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12770 MAIN STREETAddressLine1
CityMARLETTECity
StateMIState
ZIP Code48453ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE BARNETT
CEOYes (X)$0$0$0
RALPH DESHETSKY
TRUSTEEYes (X)$0$0$0
JOAN NAGELKIRK
SECRETARYYes (X)$0$0$0Yes (X)
DR MARK ENGLISH
TRUSTEEYes (X)$0$0$0
ROGER LODING
CHAIRMANYes (X)$0$0$0Yes (X)
CHRIS CLARK
V. CHAIRMANYes (X)$0$0$0Yes (X)
JUDITH FERGUSON
TRUSTEEYes (X)$0$0$0
SUE COOK
TRUSTEEYes (X)$0$0$0
GLEN KAMPMAN
TRUSTEEYes (X)$0$0$0
SCOTT ORR
TRUSTEEYes (X)$0$0$0
MEREDITH LYONS
TRUSTEEYes (X)$0$0$0
WILLIAM STARBIRD MD
TRUSTEEYes (X)$0$0$0
LARRY MITCHELL
TRUSTEEYes (X)$0$0$0
AL STOUTENBURG
TRUSTEEYes (X)$0$0$0
MICHAEL DREYER
TREASURERYes (X)$0$0$0Yes (X)
DAN BABCOCK
CEO$184,422$0$17,500Yes (X)40.00
LAWRENCE HOLEN
DOCTOR$379,102$0$32,35940.00Yes (X)
DR WILLIAM HALACOGLU
DOCTOR$282,792$0$33,65140.00Yes (X)
DR GALARNEAU
DOCTOR$253,901$0$33,45140.00Yes (X)
DR WILLIAM STARBIRD
DOCTOR$241,925$0$32,19040.00Yes (X)
DR DANIEL KULICK
DOCTOR$234,001$0$28,02340.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,576,143TotalReportableCompFromOrgAmt
Total Other Compensation$177,174TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
DR LISA LEWIS
29746 BRIARTON STREETFARMINGTON HILLSMI483312248ER DOCTOR$275,111
MCKENZIE HEALTH SYSTEMS
120 DELAWARE STREETSANDUSKYMI48471$223,167
DR NITIN GOLECHHA
6731 LEXINGTON AVE NORTHSHELBY TWPMI48317HOSPITALIST$211,644
DR W ZEMNICKAS
844 S MAIN STLAPEERMI48446OR COVERAGE$187,000
DR RATAN RAJANI
844 S MAIN STLAPEERMI48446OR COVERAGE$178,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$257,271AllOtherContributionsAmt
Total Contributions$257,271TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE$52,980,995$52,980,995
CHARITY CARE & BAD DEBT-$2,138,896-$2,138,896
CONTRACTUAL ADJUSTMENTS-$19,257,754-$19,257,754
FieldValueIRS element (for citing)
Total Program Service Revenue$31,584,345TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,576TotalRevenueColumnAmt
Exclusion$136,576ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$647,133RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$653,804RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$6,671RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,671TotalRevenueColumnAmt
Exclusion-$6,671ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$360,984SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$752OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$360,984SecuritiesAmt
Other-$752OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$360,232TotalRevenueColumnAmt
Related Or Exempt Func Income$360,232RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$84,644FundraisingGrossIncomeAmt
Fundraising Direct Expenses$40,281FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,363TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
ELECTRONIC HEALTH RECORDS$234,973$234,973
MEALS SERVED$116,669$116,669
RECORDS LIBRARIAN$11,943$11,943

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,148TotalRevenueColumnAmt
Exclusion$7,148ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$370,733OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,746,849TotalRevenueColumnAmt
Related Or Exempt Func Income$360,232RelatedOrExemptFuncIncomeAmt
Exclusion$32,084,983ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,395,341TotalAmt
Program Services$13,588,833ProgramServicesAmt
Management And General$1,715,956ManagementAndGeneralAmt
Fundraising$90,552FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$193,667TotalAmt
Program Services$170,942ProgramServicesAmt
Management And General$21,586ManagementAndGeneralAmt
Fundraising$1,139FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,655,165TotalAmt
Program Services$2,330,039ProgramServicesAmt
Management And General$324,130ManagementAndGeneralAmt
Fundraising$996FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,110,661TotalAmt
Program Services$977,990ProgramServicesAmt
Management And General$118,824ManagementAndGeneralAmt
Fundraising$13,847FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$93,245TotalAmt
Management And General$93,245ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,912TotalAmt
Management And General$36,912ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,862,105TotalAmt
Program Services$3,182,709ProgramServicesAmt
Management And General$663,359ManagementAndGeneralAmt
Fundraising$16,037FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$125,787TotalAmt
Program Services-$4,405ProgramServicesAmt
Management And General$129,044ManagementAndGeneralAmt
Fundraising$1,148FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,123,230TotalAmt
Program Services$3,945,271ProgramServicesAmt
Management And General$168,158ManagementAndGeneralAmt
Fundraising$9,801FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$615,852TotalAmt
Program Services$605,218ProgramServicesAmt
Management And General$10,634ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$154,486TotalAmt
Program Services$130,316ProgramServicesAmt
Management And General$17,643ManagementAndGeneralAmt
Fundraising$6,527FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$175,188TotalAmt
Program Services$175,188ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,075,313TotalAmt
Program Services$1,521,310ProgramServicesAmt
Management And General$552,144ManagementAndGeneralAmt
Fundraising$1,859FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$411,292TotalAmt
Program Services$364,281ProgramServicesAmt
Management And General$46,310ManagementAndGeneralAmt
Fundraising$701FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
TAXES & LICENSES$805,020$38,275$766,745
OUTSIDE LAB$285,034$285,034
REPAIRS & MAINTANCE$239,399$234,340$5,004$55
LEASE EQUIPMENT$194,478$187,784$6,694

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$529,801TotalAmt
Program Services$309,200ProgramServicesAmt
Management And General$213,240ManagementAndGeneralAmt
Fundraising$7,361FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,081,976TotalAmt
Program Services$28,042,325ProgramServicesAmt
Management And General$4,889,628ManagementAndGeneralAmt
Fundraising$150,023FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,502,000BOYAmt
EOY$6,794,168EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,921,835BOYAmt
EOY$5,317,004EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$322,563BOYAmt
EOY$323,197EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$215,555BOYAmt
EOY$522,133EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$44,548,416LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,615,752LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,024,372BOYAmt
EOY$17,932,664EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,202,090BOYAmt
EOY$2,932,941EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$267,002BOYAmt
EOY$243,042EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,455,417BOYAmt
EOY$34,065,149EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,100,819BOYAmt
EOY$1,248,406EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,001,164BOYAmt
EOY$3,383,390EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,020,000BOYAmt
EOY$8,515,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,507,965BOYAmt
EOY$1,440,404EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,629,948BOYAmt
EOY$14,587,200EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,599,545BOYAmt
EOY$18,416,007EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,180,203BOYAmt
EOY$1,016,221EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,721BOYAmt
EOY$45,721EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,825,469BOYAmt
EOY$19,477,949EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,455,417BOYAmt
EOY$34,065,149EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$335,127ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$12,393NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$599,658InvestmentCostOrOtherBasisAmt
Book Value$599,658BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$24,000,564InvestmentCostOrOtherBasisAmt
Depreciation$10,709,250DepreciationAmt
Book Value$13,291,314BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$905,974InvestmentCostOrOtherBasisAmt
Depreciation$741,392DepreciationAmt
Book Value$164,582BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$18,987,325InvestmentCostOrOtherBasisAmt
Depreciation$15,165,110DepreciationAmt
Book Value$3,822,215BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$54,895InvestmentCostOrOtherBasisAmt
Book Value$54,895BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,932,664TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED OTHER$654,441
ACCRUED PAID HOURS OFF$388,681
ACCRUED SALARIES$372,561
ACCRUED PAYROLL TAXES$24,721
FieldValueIRS element (for citing)
Total Liability$1,440,404TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$32,734,456TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$12,393NetUnrealizedGainsInvstAmt
Revenue Not Reported-$12,393RevenueNotReportedAmt
Revenue Subtotal$32,746,849RevenueSubtotalAmt
Total Revenue Per Form990$32,746,849TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$33,081,976TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$33,081,976ExpensesSubtotalAmt
Total Expenses Per Form990$33,081,976TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1HUNTING FOR HEANameOfEvent1Amt
Gross Receipts Event1$58,071GrossReceiptsEvent1Amt
Gross Revenue Event1$58,071GrossRevenueEvent1Amt
Other Direct Expenses Event1$33,121OtherDirectExpensesEvent1Amt
Name Of Event2MRH GOLF OUTINGNameOfEvent2Amt
Gross Receipts Event2$26,573GrossReceiptsEvent2Amt
Gross Revenue Event2$26,573GrossRevenueEvent2Amt
Cash Prizes Event2$100CashPrizesEvent2Amt
Non Cash Prizes Event2$580NonCashPrizesEvent2Amt
Rent Facility Costs Event2$6,480RentFacilityCostsEvent2Amt
Gross Receipts Total$84,644GrossReceiptsTotalAmt
Gross Revenue Total Events$84,644GrossRevenueTotalEventsAmt
Cash Prizes Total Events$100CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$580NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,480RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$33,121OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$40,281DirectExpenseSummaryEventsAmt
Net Income Summary$44,363NetIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConductedCd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailablefalseReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,122TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,122NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,391,185TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,372,006DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,019,179NetCommunityBenefitExpnsAmt
Total Expense0.03080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,393,307TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,372,006DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,021,301NetCommunityBenefitExpnsAmt
Total Expense0.03090TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs732ActivitiesOrProgramsCnt
Persons Served1266PersonsServedCnt
Total Community Benefit Expns$73,873TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$73,873NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served7PersonsServedCnt
Total Community Benefit Expns$7,280TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,280NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served28852PersonsServedCnt
Total Community Benefit Expns$3,566,086TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,580,790DirectOffsettingRevenueAmt
Net Community Benefit Expns$985,296NetCommunityBenefitExpnsAmt
Total Expense0.02980TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served120PersonsServedCnt
Total Community Benefit Expns$200TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$200NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs759ActivitiesOrProgramsCnt
Persons Served30245PersonsServedCnt
Total Community Benefit Expns$3,647,439TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,580,790DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,066,649NetCommunityBenefitExpnsAmt
Total Expense0.03220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs761ActivitiesOrProgramsCnt
Persons Served30245PersonsServedCnt
Total Community Benefit Expns$9,040,746TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,952,796DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,087,950NetCommunityBenefitExpnsAmt
Total Expense0.06310TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served40PersonsServedCnt
Total Community Benefit Expns$397TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$397NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served1100PersonsServedCnt
Total Community Benefit Expns$2,656TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,656NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs173ActivitiesOrProgramsCnt
Persons Served133PersonsServedCnt
Total Community Benefit Expns$5,919TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,919NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs204ActivitiesOrProgramsCnt
Persons Served1273PersonsServedCnt
Total Community Benefit Expns$8,972TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,972NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$2,270,857BadDebtExpenseAmt
Reimbursed By Medicare$10,745,504ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,874,551CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$129,047MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1THUMB MRI CENTER LLCBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesMAGNETIC REASONANCE IMAGING (MRI)PrimaryActivitiesTxt
Org Profit Or Ownership0.17000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12770 MAIN ST PO BOX 307AddressLine1
CityMARLETTECity
StateMIState
ZIP Code484530307ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MARLETTEREGIONALHOSPITAL.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit LawsuitYes (X)PermitLawsuitInd
Permit Lien On ResidenceYes (X)PermitLienOnResidenceInd
Collection ActivitiesYes (true)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
LawsuitYes (X)LawsuitInd
Liens On ResidencesYes (X)LiensOnResidencesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 3SCOPE OF THE STUDY THE PURPOSE OF THE 2013 MARLETTE REGIONAL HOSPITAL COMMUNITY HEALTH ASSESSMENT IS TO COLLECT DATA ON SPECIFIC INFORMATION REGARDING COMMUNITY PERCEPTION OF THE USE OF HEALTH INSURANCE. ADDITIONALLY, DATA WAS COLLECTED REGARDING THE DEMOGRAPHICS OF THE SURVEY RESPONDERS. THE DATA WAS PRESENTED IN A FORMAT THAT CAN BE USEFUL TO MARLETTE REGIONAL HOSPITAL ADMINISTRATION, HEALTH CARE PROVIDERS AND COMMUNITY. METHODOLOGY A COMPREHENSIVE SIX-PAGE SURVEY WAS DEVELOPED BY THE NATIONAL CENTER FOR RURAL HEALTH WORKS AND MODIFIED FOR THIS STUDY. MARLETTE CEO DANIEL BABCOCK APPROVED THE SURVEY DESIGN AND CONTENT. A SURVEY COVER LETTER WAS SENT TO 1,000 RANDOM COMMUNITY MEMBERS IN THE MARLETTE SERVICE AREAS. A COMPANY NAMED ACCULEADS PROVIDED RANDOMIZED MAILING ADDRESSES FOR THE CITIES OF MARLETTE, SILVERWOOD, IMLAY CITY, NORTH BRANCH, BROWN CITY, CLIFFORD, MAYVILLE, KINGSTON, SNOVER, AND SANDUSKY. THE SURVEY WAS SENT ON OCTOBER 4, 2012; A FOLLOW UP SURVEY WAS MAILED TO ALL NON-RESPONDERS. ALTOGETHER, 200 COMPLETED SURVEYS WERE RETURNED (20%). THE DATA WAS ENTERED INTO A SURVEY MONKEY DATABASE AND ARE PRESENTED IN THE SURVEY RESULTS SECTION OF THIS REPORT.
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 7IN TAX YEAR 2012, NOT ALL OF THE CHNA IDENTIFIED NEEDS WERE ADDRESSED DUE TO A VARIETY OF FACTORS; HOWEVER, THE IDENTIFIED NEEDS WERE PRIORITIZED AND THE TOP ITEMS WERE RESOLVED AS FOLLOWS: THE SURVEY RESULTS OF THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) GENERATED THE FOLLOWING INFORMATION: FINDING: THE TOP THREE REASONS FOR NOT RECEIVING HEALTH CARE SERVICES ARE: 1) ACCESS LIMITATIONS 2) TOO COSTLY AND 3) LACK OF INSURANCE COVERAGE. RESPONSE: ACCESS LIMITATIONS: ACCESS LIMITATIONS ARE BEING ADDRESSED ON TWO FRONTS. FIRST, WE ARE EXPANDING THE NUMBER OF INSURANCE PLANS WITH WHICH WE PARTICIPATE. THIS EXPANDED PARTICIPATION WILL ALLOW OUR HOSPITAL AND PHYSICIANS TO SERVE MORE PATIENTS. THE SECOND STRATEGY FOR IMPROVING ACCESS FOR OUR PATIENTS IS THROUGH PHYSICIAN RECRUITMENT. WE HAVE SUCCESSFULLY RECRUITED ANOTHER FAMILY PRACTICE PHYSICIAN WHO WILL BE WORKING OUT OF OUR MARLETTE MEDICAL OFFICE BUILDING. SHE IS EXPECTED TO START HER PRACTICE IN JULY 2014. TOO COSTLY: WE HAVE PARTNERED WITH CARING HEART HEALTH CLINIC, A FREE CLINIC IN MARLETTE SERVING THE ENTIRE COUNTY, TO OFFER FREE OR REDUCED SERVICES TO PATIENTS REFERRED TO THE HOSPITAL FROM THE CLINIC. WE ALSO HAVE POLICIES TO OFFER PATIENTS PAYMENT PLANS AND PROMPT PAY DISCOUNTS FOR SERVICES FOR WHICH THEY ARE RESPONSIBLE. WE HAVE ALSO EXPANDED THE NUMBER OF INSURANCE PLANS WE PARTICIPATE WITH WHICH WILL LOWER THE PORTION OF HEALTHCARE BILL FOR WHICH THE PATIENT IS RESPONSIBLE. LACK OF INSURANCE COVERAGE: WE ARE PARTNERING WITH LOCAL NAVIGATORS AND OTHER INSURANCE EXCHANGE PERSONNEL TO BRING EDUCATION TO OUR COMMUNITIES ABOUT INSURANCE PROGRAMS AVAILABLE TO THEM. IN ADDITION TO THIS EDUCATION ACTUAL HELP TO SIGN UP ON THE EXCHANGES IS BEING OFFERED AS WELL. FINDING: THE TOP ADDITIONAL HEALTH CARE SERVICE THAT WOULD BE USED IF AVAILABLE LOCALLY IS URGENT CARE. RESPONSE: THE EVALUATION OF THE FINANCIAL VIABILITY OF AN URGENT CARE CLINIC IS BEING EVALUATED. THE PRIMARY HURDLE IN OPERATING A LOCAL URGENT CARE CLINIC IS THE AVAILABILITY OF HEALTH CARE PROVIDERS TO STAFF THE CLINIC IN AN AFFORDABLE MANNER. FINDING: THE TOP THREE RESPONSES TO WHAT WOULD IMPROVE YOUR COMMUNITY'S ACCESS TO HEALTH CARE ARE: 1) MORE PRIMARY CARE PHYSICIANS 2) LONGER HOURS AT CLINICS AND 3) MORE SPECIALISTS. RESPONSE: AS MENTIONED ABOVE WE ARE CURRENTLY RECRUITING MORE PRIMARY CARE PHYSICIANS FOR OUR SERVICE AREA. THIS WILL HELP IN NOT ONLY THE NUMBER OF PHYSICIANS AVAILABLE, BUT IN STRUCTURING SCHEDULED CLINIC HOURS ACROSS THE SYSTEM TO BETTER MATCH PATIENTS' SCHEDULES AND NEEDS FOR SERVICES. FINDING: TOP THREE MOST SERIOUS HEALTH CONCERNS IN YOUR COMMUNITY ARE: 1) ALCOHOL/SUBSTANCE ABUSE 2) CANCER AND 3) CHILD ABUSE/NEGLECT. RESPONSE: ALCOHOL, SUBSTANCE AND CHILD ABUSES ARE BETTER HANDLED THROUGH THE COMMUNITY MENTAL HEALTH SERVICES IN OUR AREAS. WE PARTNER WITH THESE SERVICES TO ENSURE PATIENTS WITH THESE CONDITIONS ARE RECEIVING APPROPRIATE CARE. REGARDING CANCER, WE HAVE PARTNERED WITH LOCAL VOLUNTEERS TO ESTABLISH PROSTATE AND BREAST CANCER PROGRAMS THAT OFFER FREE OR REDUCED CANCER SCREENINGS, EDUCATION, AND OTHER PREVENTATIVE SERVICES. SETON CANCER INSTITUTE, OPERATED BY ST. MARY'S OF MICHIGAN, IS LOCATED ON OUR CAMPUS AND PROVIDES RADIATION AND CHEMOTHERAPY SERVICES. THE FOLLOWING COMMON INFORMATION REGARDING THE TOP COMMUNITY NEEDS WAS GENERATED FROM THE COMMUNITY MEETINGS: FINDING: LOCAL AFTER HOUR WALK-IN-CLINIC. RESPONSE: PLEASE SEE THE RESPONSE ABOVE FOR URGENT CARE. FINDING: WELLNESS EDUCATION FOR PRIMARY AND SECONDARY STUDENTS, INCLUDING FIRST AID, NUTRITION, AND CHILD CARE. RESPONSE: WE CURRENTLY OFFER EDUCATION TO STUDENTS REGARDING DIABETES, NUTRITION, AND OTHER HEALTH ISSUES. CONCLUSION: MARLETTE REGIONAL HOSPITAL IS COMMITTED TO CONTINUOUSLY IMPROVING THE HEALTH IN COMMUNITIES WE SERVE. WHILE WE RECOGNIZE OUR LIMITATIONS IN MEETING THE NEEDS OF ALL OF OUR COMMUNITY MEMBERS, WE COMMIT TO DELIVERING EXCELLENT HEALTH CARE TO THOSE WE CAN SERVE HERE, AND WE COMMIT TO PARTNERING WITH OTHER HEALTHCARE PROVIDERS AND SERVICES TO ENSURE OUR COMMUNITY HAS THE ACCESS TO THE HEALTH CARE SERVICES WE CANNOT PROVIDE.
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 12INUMBER OF RESIDENTS IN HOUSEHOLD
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 14GTHE SOCIAL SERVICES DEPARTMENT WILL REVIEW AND DISCUSS THE FINANCIAL ASSISTANCE PROGRAM WITH UNINSURED PATIENTS THAT ARE ADMITTED TO THE HOSPITAL.
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 20DINDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY SERVICES WERE BILLED AT THE AVERAGE PAYMENT RATE OF THE 3 LARGEST VOLUME COMMERCIAL CARRIERS.
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 22FAP-ELIGIBLE PATIENTS WHO HAD SERVICES OUTSIDE OF THE EMERGENCY ROOM AND DID NOT COMPLETE A FINANCIAL ASSISTANCE APPLICATION WOULD HAVE BEEN CHARGED AND BILLED AT THE GROSS CHARGE LEVEL.

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II - COMMUNITY BUILDING ACTIVITIESMARLETTE REGIONAL HOSPITAL PART II: THE HEALTH OF THE COMMUNITY HAS BEEN PROMOTED BY PROVIDING SPACE FOR EDUCATION FORUMS AND SUPPORTING LOCAL EVENTS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYBAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDED JUNE 30, 2014 AND 2013, AMOUNTED TO 2,270,857 AND 2,224,877, RESPECTIVELY. THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING COST BASED UPON THE COST TO CHARGE THAT IS DEVELOPED IN SCHEDULE H. RATIONALE FOR INCLUDING A PORTION OF BAD DEBT EXPENSE AS A COMMUNITY BENEFIT: - A PORTION OF THE ACCOUNTS WRITTEN OFF AS BAD DEBTS WOULD HAVE QUALIFIED FOR CHARITY CARE IF AN APPLICATION HAD BEEN COMPLETED AND ACCEPTED BY THE FACILITY. - EMERGENCY SERVICES (WHICH REPRESENTS A SIGNIFICANT PORTION OF THE BAD DEBTS) ARE RENDERED WITHOUT THE CONSIDERATION OF THE PATIENTS ABILITY TO PAY. AS A RESULT, THESE BAD DEBTS SHOULD BE CONSIDERED A PART OF PROVIDING COMMUNITY BENEFIT. CHARITY CARE: THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT A CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.
PART III, LINE 8 - MEDICARE EXPLANATIONTHE HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL UNDER MEDICARE REGULATIONS. CRITICAL ACCESS HOSPITALS RECEIVE COST REIMBURSEMENT FOR ACUTE-CARE INPATIENT AND SUBSTANTIALLY ALL OUTPATIENT SERVICES. THERE ARE A FEW SERVICES THAT ARE NOT PAID ON A COST REIMBURSEMENT BASIS AND THOSE SERVICES PROVIDED A SHORT FALL OF 129,047. COST REPORT DATA OR THE APPLICABLE COST TO CHARGE RATIO WERE USED TO DETERMINE ALLOWABLE COST.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONONCE AN ACCOUNT HAS REACHED THE END OF INTERNAL COLLECTION PROCESS IT IS TURNED OVER TO AN OUTSIDE COLLECTION AGENCY. BAD DEBTS RECOVERIES AMOUNTED TO 145,763 FOR THE YEAR ENDED JUNE 30, 2014 AND 199,213 FOR THE YEAR ENDED JUNE 30, 2013.
PART VI, LINE 2 - NEEDS ASSESSMENTPLEASE SEE RESPONSE FOR SCHEDULE H, PART V, LINE 3
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFOR INPATIENT ADMISSIONS WE SEEK ANY INFORMATION REGARDING INSURANCE COVERAGE. IF NO COVERAGE IS AVAILABLE WE REFER THE PATIENT TO OUR SOCIAL WORKER WHO HELPS THE PATIENT APPLY FOR GOVERNMENT ASSISTANCE IF APPLICABLE AND AVAILABLE, AND IF IT IS NOT, THEN WE HELP THEM COMPLETE THE CHARITY CARE APPLICATION. FOR OUTPATIENT SERVICES THE BILLING DEPARTMENT COUNSELS AND ASSISTS THE PATIENT IN APPLYING FOR GOVERNMENTAL ASSISTANCE. IF NOT APPLICABLE OR AVAILABLE, THE PATIENT IS ASSISTED IN COMPLETING THE CHARITY CARE APPLICATION AND APPLICATIONS TO SPECIAL ORGANIZATIONS THAT MIGHT OFFER ASSISTANCE AS WELL.
PART VI, LINE 4 - COMMUNITY INFORMATIONMARLETTE REGIONAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN MARLETTE WITHIN SANILAC COUNTY. AREA OF SERVICE INCLUDES THE SOUTHERN PORTION OF HURON COUNTY, THE EASTERN PORTION OF TUSCOLA COUNTY, THE NORTHERN PORTION OF LAPEER COUNTY, AND SANILAC COUNTY. THE TOTAL POPULATION FOR THESE COUNTIES WAS APPROXIMATELY 220,227 IN 2010. UNEMPLOYMENT FOR THESE COUNTIES RANGED AT 13.2% TO 19.0% IN 2009 AND THE PERCENTAGE OF UNINSURED IN THESE COUNTIES RANGED AT 16.3% TO 18.1% IN SEPT. 2009. MEDIAN HOUSEHOLD INCOME FOR THIS AREA IN 2008 TO 2012 RANGED BETWEEN 40,019 AND 52,369.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHTHE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD AND HAS AN OPEN MEDICAL STAFF. IT ALSO PARTICIPATES IN FREE OR REDUCED HEALTH SCREENINGS AND FAIRS THAT ARE AVAILABLE TO THE GENERAL PUBLIC, REGARDLESS IF THE PATIENT IS A PATIENT IN OUR HEALTH SYSTEM.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DAN BABCOCK
CEO$184,422$17,500$201,922
LAWRENCE HOLEN
DOCTOR$379,102$32,359$411,461
DR WILLIAM HALACOGLU
DOCTOR$282,792$33,651$316,443
DR GALARNEAU
DOCTOR$253,901$33,451$287,352
DR WILLIAM STARBIRD
DOCTOR$241,925$32,190$274,115
DR DANIEL KULICK
DOCTOR$234,001$28,023$262,024

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.
FORM 990, PAGE 2, PART III, LINE 4ABAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDING JUNE 30, 2014 AND 2013 AMOUNTED TO 2,270,857 AND 2,224,877, RESPECTIVELY. THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING THE COST BASED UPON THE COST TO CHARGE RATIO THAT IS DEVELOPED IN SCHEDULE H. OTHER COMMUNITY BENEFITS ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES THAT MRH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. A SAMPLING OF THESE COMMUNITY BENEFITS IS PROVIDED BELOW: EDUCATIONAL SERVICES/PROGRAMS "ABUSE AND NEGLECT RECOGNITION TRAINING FOR COMMUNITY AND HOSPITAL STAFF "CAREER GUIDANCE FOR AREA SCHOOL STUDENTS "COOPERATIVE PROFESSIONAL TRAINING WITH LOCAL COLLEGES "CPR TRAINING FOR THE COMMUNITY AND PUBLIC SAFETY AGENCIES "DISEASE/CONDITION-SPECIFIC EDUCATION, E.G., DIABETES "EDUCATION/COUNSELING FOR FAMILIES OF PATIENTS "EDUCATION/COUNSELING FOR PATIENTS "EDUCATIONAL PROGRAMS FOR EMPLOYEES (ADULT EDUCATION) "ORGAN DONATION INFORMATION CAMPAIGNS "SCHOOL HEALTH PROGRAMS "SPEAKERS BUREAU "SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY "TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNEL HEALTH PROMOTION AND PREVENTIONS ACTIVITIES "BLOOD PRESSURE CLINICS "DISCHARGE PLANNING WITH FOLLOW-UP SUPPORT PROGRAMS "DRUG REVIEW FOR SENIOR CITIZENS "HEALTH PROMOTION/WELLNESS PROGRAMS "HEALTH SCREENING/HEALTH FAIRS "NUTRITION AND WEIGHT CONTROL "RURAL HEALTH OUTREACH SERVICES "STRESS MANAGEMENT "WORK SITE HEALTH PROMOTION SERVICE EMERGENCY SERVICES/PROGRAMS "EMERGENCY SERVICES DEPARTMENT "ADVANCED LIFE SUPPORT AMBULANCE SERVICE "FIRE AND POLICE ASSISTANCE "HELICOPTER TRANSFER ASSISTANCE CLINICAL SERVICES "CERTIFIED RURAL HEALTH CLINICS "CHILDHOOD IMMUNIZATIONS "PRIMARY CARE SERVICES "ACUTE MEDICAL AND SURGICAL SERVICES "RESIDENTIAL AND HOME-BASED HOSPICE SERVICES "UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, AND LONG-TERM CARE SERVICES "MOBILE PET AND BONE DENSITY TESTING TECHNOLOGY "COORDINATION OF PATIENT CARE SERVICES IN HOSPITAL "FREE OR LOW COST SERVICES TO LOW INCOME FAMILIES "GENERAL HEALTH SCREENING CLINICS "RESPIRATORY/PULMONARY DISEASE SERVICES "SCHOOL HEALTH CLINICS (PRIMARY CARE) "SCHOOL SPORTS PHYSICALS "SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY NON-CLINICAL HOSPITAL SERVICES "ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES) "FREE MEETING ROOMS FOR COMMUNITY GROUPS "FREE OR LOW COST MEALS "GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUDING MEDICAID "MEALS FOR FAMILY MEMBERS "TRANSLATION OR INTERPRETER SERVICES FOR NON-ENGLISH SPEAKING PATIENTS SUPPORT FOR OTHER HEALTH CARE PROVIDERS "RADIATION AND CHEMOTHERAPY SERVICES "VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE PHYSICIANS' CARE "SUPPORT FOR BLOOD DRIVES "DONATION OF USED EQUIPMENT TO OTHER PROVIDERS "PHYSICIAN REFERRAL SERVICES "PARTNER IN REGIONAL RURAL HEALTH NETWORKS WORKING RELATIONSHIP WITH OTHERS "CIVIC ORGANIZATIONS SUCH AS LIONS CLUB AND TOYS FOR TOTS "AMERICAN ASSOCIATION OF RETIRED PERSONS "COMMUNITY-BASED BUSINESS GROUPS SUCH AS CHAMBERS OF COMMERCE "ECONOMIC DEVELOPMENT AGENCIES "HOME HEALTH AGENCIES "HOSPICES "LOCAL SCHOOLS AND COLLEGES "NURSING HOMES "SENIOR CITIZENS ORGANIZATIONS "STATE AND LOCAL AGENCIES AND ORGANIZATIONS MARLETTE REGIONAL HOSPITAL IS COMMITTED TO SERVING OUR PATIENTS IN WAYS THAT RESPECT THE ORIGINAL VALUES OF OUR COMMUNITY - A COMPASSION FOR OUR NEIGHBORS AND A SENSE OF DUTY TO SERVE THOSE IN NEED. IN RESPECTING THESE VALUES, MARLETTE REGIONAL HOSPITAL ACKNOWLEDGES ITS OBLIGATION TO OFFER SERVICES TO PATIENTS THAT MAY NOT BE ABLE TO FULLY AFFORD THE CARE THEY NEED, WHILE ALSO SERVING THE HEALTH IMPROVEMENT NEEDS OF OUR LARGER COMMUNITY. TO THAT END, THE HOSPITAL HAS ADOPTED POLICIES THAT DESCRIBE HOW SERVICES ARE DISCOUNTED AND HOW CHARITY CARE IS DETERMINED AND OFFERED.
FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 WILL BE REVIEWED AT THE FINANCE COMMITTEE BY THE CEO AND CFO AND PRESENTED TO THE FULL BOARD FOR APPROVAL. THE RETUN WAS SENT TO THE FINANCE COMMITTEE ON 1/27/15 AND REVIEWED IN DETAIL AT THE 1/29/15 FINANCE COMMITTEE MEETING.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. IN ADDITION THE COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, ADMINISTRATIVE POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES 3,182,709 663,359 16,037

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodePrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
MCKENZIE HEALTH SYSTEM
120 N DELAWARE STSANDUSKYMI48471HOSPITALMI501C3N/Afalse
BLUEWATER HEALTHCARE NETWORK
120 N DELAWARE STSANDUSKYMI48471PARENTMI501C3N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MCKENZIE HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionTypeTxt
Involved$223,247InvolvedAmt
Method Of Amount DeterminationACTUAL COSTSMethodOfAmountDeterminationTxt

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